MN HIV Services Planning Coun= cil Meeting

September = 9, 2008

9:00 am – 12:00 noon

Plymouth Congregational Church

1900 Nicollet Avenue= , Minneapolis

Minutes<= /span>

Council Members Present:<= o:p>
Paul Eknes-Tucker (Council Co-Chair)	Rob Pioli
Hazel Erickson (Council Co-Chair)<= /o:p>	Dave Rompa
B= ob Hansen	Luther Christensen
Peggy Darrett-Brewer=	Chris Bernard
Hank Jensen	Keith Henry
Michael Hargrave	Ephraim Olani
Darin Rowles	Susanne Pfeil
Mike Behl	Karin Sabey
Jennifer Houston	Gerry Tyrrell
Ama Sabah	Rosetta Hunt
Council Members Absent:<= o:p>
Timona Jarha	Nick Metcalf
Shelia Mills	Jerry Moss
Marty Perry	Alvine Siaka
Consultants:<= o:p>
Becky Kroll – CLEAR	Bob Tracy=
Guests:
David Neller	London Losey – West Side
Jenny Adams - PPL
G-HAT:
Thuan Tran – Hennepin County	Andy Ansell - DHS
Redwan Hamza – DHS	Julie Hansen Perez - MDH
Debbie Griffith - DHS
Planning Council Staff:
Wendi Johnson (minut= es)	Tim Sullivan

Quorum Pr= esent? Yes

I.&n= bsp; = ; Welcome and Introductions; Lighting of the Candle

Paul stated he would be pre= siding and called the meeting to order at 9:03 am. Introductions were made. Tim lit the candle for Jerry’= ;s wife who has been struggling with health issues over the summer and will be having surgery soon.

II.&= nbsp; &nbs= p; Review the August 12, 2008 Meeting Minutes and Proposed Agenda

Karin asked that references= to Gerry Tyrrell and Jerry Moss include last initials so members will know who= is being referred to. Karin also= asked that advanced copies of the committee reports be sent via email so they can= be read beforehand. Both request= s will be done. The minutes and agen= da were approved by unanimous consent.

III.= Part A Update, Thuan Tran, Hennepin County

A. There are several conditions of award for MAI that are due on September 30^th=. These documents include the revised budget, allocation table, and the MAI plan.

B. Office of Inspector General (OIG) study – Tim and Jonathan had an interview = with the OIG yesterday. They are contacting areas around the country to get feedback about the core medical services requirement. MN is o= ne of the areas that applied for the waiver last year. During the interview Tim and Jonat= han were told most TGAs and EMAs have had some complaint about the core medical services requirement.

C. Julia Hildago will be working on a Medical Case Management (MCM) training needs assessment. Hennepin County and DHS staff will meet with her next Tuesday to begin the process. =

D. Client Level Data – HRSA’s new client level reporting requirements wil= l go into effect on January 1, 2009 for Case Management and core medical services. Even though HRSA wi= ll only require data for these services MN will be collecting for all services because it would be too difficult to have two different requirements. The new requirements are very simi= lar to the data that is currently collected.

· Karin suggested allowing providers some time= to get their electronic systems updated.

E. = Culturally Specific Health Education and Wellness Support DVDs and broadcast – T= he African American show will air on TPT on November 16^th at 7pm. The African program will also air = on TPT on December 13^th to coincide with African World AIDS Day.

IV.&= nbsp; &nbs= p; Part B and ADAP Update, Redwan Hamza, DH= S

A. Redwan distributed the updated Program HH Policy and Procedure Manual to Council members. The manual is also available on the DHS website.

B. Julia Hildago will be meeting with DHS staff on September 16^th to look= at their site visit process.

C. MAI award came out on August 1^st.&n= bsp; DHS received an increase of $10 for a total award of $29,343.

D. The Part B final expenditure report was submitted on September 2^nd.<= span style=3D'mso-spacerun:yes'>

E. = Program HH town hall meetings – Redwan distributed a flyer for the meetings a= nd encouraged Planning Council members to attend. Clients will have the opportunity = to offer input on the program. <= span style=3D'mso-spacerun:yes'>

F. = Jenny from Project for Pride in Living (PPL) attended the meeting to give an upda= te on the Education for Life training. She also had David, a graduate of the program, attend the meeting. This training is a 5 week long ret= urn to work program. PPL just wrappe= d up the first grant cycle. During= the first year they had 98 people participate in the program and graduated 59 people. The next class will b= egin October 6^th and is already at capacity. There has been an overwhelming res= ponse for classes. David went throu= gh the class and told the Council about his experience. He thinks this program fills in ne= eded gaps. Each participant receiv= ed individualized information. Q= uestions/Comments:

· Gerry T. asked if they work with rehabilitat= ion services and Jenny said yes.<= /o:p>

· Dave reminded the Council that they partially fund this program. He thinks = there is a misconception that this program helps get people back to work. This program actually gives people= information on how their benefits will be affected by going back to work.

· Jenny said they are working on an outcomes analysis to find out how many people have gone back to work since completing the program.

· Peggy asked if this class can transfer to ot= her PPL trainings. Jenny said the= re are other job training programs and participation in this class can prepare them for the other classes.

· Anyone interested in joining the class should contact Jenny.

G.&n= bsp; Save the date: The next Consumer Advisory Committee will be held on October 17^th in Brainerd. The committee currently meets twic= e a year – once in the metro and once in greater MN. The committee currently has 18 mem= bers and is reflective of the epidemic. <= /span>Andy invited any consumers who live in the Brainerd area to attend their social event being held the night before the meeting.

H.&n= bsp; World AIDS Day – December 1^st= there will be a brown bag lunch at DHS.&nb= sp; Andy and Rob K. will be talking about their life experiences. Anyone interested in attending is welcome.

I.&n= bsp; The DHS World AIDS Day event will be hel= d on December 5^th. Ther= e will be two programs that day, during lunch at DHS and an evening program at a y= et to be determined location. Dr. Robert E. Fullilove will = be the speaker and is a professor at Columbia University. He will be speaking about HIV and = health disparities.

J.&n= bsp; 2009 application guidance should be rele= ased by the end of the month.

V.&n= bsp; = ; Staff Update

A. All Grantee meeting – Tim attended the HRSA All Grantee meeting in D.C. on behalf of the Planning Council. This meeting is always a good opportunity to observe how other Planning Councils= are accomplishing their work. Tim= is very proud of the work the Council does and thinks the current processes ar= e very good.

B. Those who have not filled out the Part A grantee evaluation will be asked to do so today. This information is re= quired for the grant application. Th= e Part B form will be distributed and filled out today.

VI.&= nbsp; &nbs= p; Co-Chairs Update

A. Paul also attended the All Grantee meeting.&nbs= p; He had lots of good interaction with people from other Planning Councils. He thinks there is = a good relationship between all the parts in MN which helps funding get to clients faster.

B. Hazel will be attending the U.S. Conference on AIDS in late September.

VII.= Committee Reports

A document entitled Committee Report Summaries was distributed.

· Community Voice – no additional= update

· Executive – no meeting

· Needs Assessment & Evaluation = 211; no meeting

· Operations – no meeting=

· Planning & Priorities

o = Em= ergency Financial Assistance – at the last Council meeting there was a discus= sion about Emergency Financial Assistance (EFA). The Council asked the Planning &am= p; Priorities committee to continue this discussion. The staff who administers this pro= gram attended the meeting to talk about how the program works. After the discussion the committee= had a better understanding of the program. Administering staff agreed to move clients with a shutoff or eviction notice to the top of the lottery so they will be sure to get assistance. Questions/Comments:

§Da= ve asked if it would be good to have a structural follow up to make sure the corrective action is being done. Tim said this will be easy to do.&n= bsp; Dave said he is interested to know how many clients have notices but have used all of their $410 yearly allotment. Tim said that might be more diffic= ult to gather.

VIII. Distribute Part B Assessment of Administrative Mechanism Evaluation Form

Tim distributed a document = entitled Assessment of the Administrative Mechanism – Evaluation of Part B Grantee August 2008. Tim walked Council members thr= ough how to fill out this document. Members were asked to fill out this form during the meeting and retu= rn it to staff before leaving. Information from this evaluation is not required for the Part B grant application so this information is being gathered for the Council and the P= art B grantee. Questions/Comments= :

·         Dave stated his abstention from filling out = the Part A and Part B evaluations because of conflict of interest.

·         Bob asked who the review committee is for the RFP process. Redwan said DHS recruits reviewers who are involved in the HIV community and have an unders= tanding of the service areas.

Hazel stated she would be presiding over the second ha= lf of the meeting.

IX.&= nbsp;           &nbs= p; SWOT Analysis

The Planning & Prioriti= es committee is in the process of updating the Part A and Part B Comprehensive Plans. They are due January 5= ^th and February 5^th respectively.&= nbsp; The Council is required to complete or update their comp plan every three years. This time HRSA a= sked that Parts update rather than recreate their comp plans. The committee asked the full Counc= il to guide this updating plan.

Tim led Council members thr= ough a SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis. Tim asked Council members to think= about these four things as they relate to the entire HIV system from the time a client enters care through the client receiving services or not receiving services.

Strengths:

·         Competent providers

·         Good access

·         Well defined service delivery system in plac= e

·         Few patients are falling through the cracks<= /p>
·         Good relationship between the Parts

·         Morale within provider community is high

·         Minnesota healthcare system

·         Maximization of fiscal resources

·         Proactive planning body

·         Wide range of services available

·         Creativity of program development

·         Good documentation of positive outcomes

·         Good level of provider and consumer participation in planning focusing on the big picture

·         Primary care is supported

·         Collaboration between providers

·         Foresight – try to look ahead

·         Being part of the Medicaid system

Weaknesses:

·         Being part of the Medicaid system

·         Geographic equity – not enough program expansion

·         Stigma

·         Not enough utilization information on some services

·         Cultural-Ethnic disparities within epi data<= /p>
·         Reliant predominantly on one funding stream<= /p>
·         Low test rates among Asian/Pacific Islanders=

·         Access to Mental Health services

·         Need more education and transparency for fun= ded providers

·         Lack of good linguistic access

·         Complexity of publicly funded healthcare programs

·         Duplication of documentation – applications

·         Difficult to navigate system

·         Lack of integration of prevention and care services

·         Paperwork and reporting burdens

·         LGBT and HIV stigma for immigrant population= s

·         Communication issues

·         Less visible disease

·         Competition for resources

·         Problems in filling prescriptions

·         Change in the view toward “safety nets”

·         Lack of self advocacy as a priority

·         Lack of ability for consumer involvement in service provision

Opportunities:

·         Sharing best practices / defining best pract= ices

·         Educational conferences

·         Collaboration between agencies

·         Using new electronic media

·         Better educate consumers

·         Begin investigating non-HIV funding sources<= /p>
·         Consumer implementation of “medical-home” model

·         Potential for post election changes to healthcare system / changes in legislature

·         Recent grant to upgrade data collection/reporting

·         Extract good from system and plan for future=

·         Strong impact on reauthorization

·         Access to state/federal legislators

·         Opportunity to be on top of the issues

·         Revised CDC estimates

·         Consistently increase consumer involvement
·         Expand testing – get people into care<= /p>
·         Fund support groups – specifically for women

Threats:

·         Lack of government resources

·         Reauthorization

·         ADAP shortfall predicted in 2010

·         Government mandates

·         Evolution of HIV virus

·         Magnet for consumers outside of MN

·         Inadequate staff to handle need

·         HIV primary care not sustainable

·         Apathy

·         Aging of HIV population

·         Lack of education / public view of the disea= se

·         Threat to ourselves

·         Economic issues - more people becoming relia= nt on public assistance

·         Definition of eligible area

·         International focus

·         Not keeping up with inflation

·         Not teaching youth safer practices

·         Continued reduction of prevention funding

·         Anti-immigrant presence

·         Focus on abstinence

·         Do more with less / provider fatigue

·         Aging workforce

·         Successive treatments adds to burden on syst= em

·         Current U.S. estimates are high

Council members were asked = to look for themes from all the information. Members were then asked to think about these themes and decide if th= ey are “very important” or “less important” and also to decide if “PC can change/affect it” or “PC cannot change/affect it”. Info= rmation from this discussion will help the Planning & Priorities committee begin their process of updating the comp plan.&n= bsp;

X.&n= bsp;            = ;     Unfinished Business

None

=

XI.&= nbsp;           &nbs= p; Announcements

None

Meeting Adjourned at 11:20 am

Meeting Su= mmary:

·         Tim and Jonathan had an interview with the Office of the Inspector General to discuss the impact of core medical servi= ces and the waiver on the MN TGA.

·         The Culturally Specific Health Education and Wellness Support programs, focusing on African American and African Born populations will air on TPT on November 16^th and December 13th respectively. DVDs for distri= bution will be available after the initial airing of the programs.

·         Jenny and David, from PPL, attended the meet= ing to talk about the Education For Life training program. This program gives individualized benefits information to each participant so they will understand how their benefits will change by going back to work.

·         Planning & Priorities met with the administering staff of Emergency Financial Assistance to learn how the prog= ram works. After discussion the administering staff agreed to move clients with eviction or shutoff notices= to the top of the lottery so they will be sure to receive assistance.

·         Council members filled out the Part B grantee evaluation. This information = is not required for the grant application and is for the benefit of the Planning Council and DHS.

·         The Council participated in a SWOT (strength= s, weaknesses, opportunities, and threats) Analysis to help the Planning & Priorities committee begin their process of updating the Comprehensive Plan.

Documents Distributed Before the Meeting:

·         Agenda

·         Minutes from August 12, 2008

Documents Distributed At the Meeting:

·         Committee Report Summaries

·         Assessment of the Administrative Mechanism – Evaluation of Part B Grantee August 2008

WJ/tds

September = 9, 2008

9:00 am – 12:00 noon

Minutes<= /span>

Council Members Present:<= o:p>

Paul Eknes-Tucker (Council Co-Chair)

Rob Pioli

Hazel Erickson (Council Co-Chair)<= /o:p>

Dave Rompa

Luther Christensen

Peggy Darrett-Brewer=

Chris Bernard

Hank Jensen

Keith Henry

Michael Hargrave

Ephraim Olani

Darin Rowles

Susanne Pfeil

Mike Behl

Karin Sabey

Jennifer Houston

Gerry Tyrrell

Ama Sabah

Rosetta Hunt

Council Members Absent:<= o:p>

Timona Jarha

Nick Metcalf

Shelia Mills

Jerry Moss

Marty Perry

Alvine Siaka

Consultants:<= o:p>

Thuan Tran – Hennepin County

Andy Ansell - DHS

Redwan Hamza – DHS

Julie Hansen Perez - MDH

Debbie Griffith - DHS

Planning Council Staff:

Wendi Johnson (minut= es)

Tim Sullivan